DR. JOHN KENNETH KOSIK (NPI# 1568532562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568532562 |
| Entity Type | Individual |
| Full Name | DR. JOHN KENNETH KOSIK |
| Credential | D.O. |
| Practice Address |
Hcr 61 Box 30 Jct Us Hwy 160 & Nr 35 - Red Mesa Teec Nos Pos AZ 86514 |
| Practice Telephone | 9286565000 |
| Practice Fax Number | 9286565164 |
| Mailing Telephone | 9286565000 |
| Mailing Fax Number | 9286565164 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2012-04-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5766873-1204 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 260813 | 05 | |
| NM | 36250767 | 05 | |
| CO | 40584054 | 05 |
| Street Address |
HCR 61 BOX 30 JCT US HWY 160 & NR 35 - RED MESA |
| City | TEEC NOS POS |
| State | AZ |
| Zip Code | 86514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285754606 | Lisa H. Allee | Registered Nurse | Hcr 61 Box 30, Jct Us Hwy 160 & Nr 35 - Red Mesa, Teec Nos Pos, AZ 86514 | 2007-03-30 |
| 1326183450 | Norman Hoger | Internal Medicine | Hcr 61 Box 30, Jct Us Hwy 160 & Nr 35 - Red Mesa, Teec Nos Pos, AZ 86514 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275025702 | April Rose De Guzman Hernandez | Registered Nurse | Jct Us Hwy 160 and Navajo Route 35, Red Mesa, AZ 86514 | 2018-05-31 |
| 1891184552 | James Robert Lillard II | Registered Nurse | Jct. U.S. Hwy. 160 & Navajo Route 35, Red Mesa, AZ 86514 | 2015-01-20 |
| 1588060842 | Susan Wolffe | Registered Nurse | Jct Us Hwy 160 & Navajo Route 35, Teec Nos Pos, AZ 86514 | 2014-11-14 |
| 1609276641 | Donald Reede | Registered Nurse | Jct U.S. Hwy 150 & Navajo Route 35 - Red Mesa, Teec Nos Pos, AZ 86514 | 2014-08-27 |
| 1306281134 | Anderson Transport LLC | Non-emergency Medical Transport (VAN) | Nha Mh#39, Teec Nos Pos, AZ 86514 | 2013-05-07 |
| 1811241896 | Surrina Whitehorse | Non-emergency Medical Transport (VAN) | Hwy 160 Mm 284: 8 Miles, Teecnospos, AZ 86514 | 2012-10-30 |
| 1992081608 | Ronald Edward Dancy Jr. | Registered Nurse | Jct. U.S. Hwy 160 & Navajo Route 35 - Red Mesa, Teec Nos Pos, AZ 86514 | 2011-10-26 |
| 1407137557 | Eun Mi Ahn | Pharmacist | Jct U.S. Hwy 160 & Navajo Route 35, Teec Nos Pos, AZ 86514 | 2011-09-02 |
| 1033406426 | Christine Yvonne Potter | Registered Nurse | Jct. Hwy 160 & Navajo Route 25 - Red Mesa, Teec Nos Pos, AZ 86514 | 2011-07-06 |
| 1629364039 | Rebecca Gail Shroyer | Registered Nurse | Junction Highway 160 & Navajo Route 35, Teec Nos Pos, AZ 86514 | 2011-06-23 |
| Find all providers in zip 86514 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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|---|---|---|---|---|
| 1306446349 | Holding Hands Medical Pllc | Family Medicine | 8515 S College Ln, Tempe, AZ 85284-2342 | 2020-10-29 |
| 1730789876 | Kara Lindsay | Family Medicine | 10293 N 92nd St Ste 100, Scottsdale, AZ 85258-4565 | 2020-10-28 |
| 1184238164 | Mobile Np Pllc | Family Medicine | 5807 E Vernon Ave, Scottsdale, AZ 85257-1941 | 2020-09-07 |
| 1194339200 | Madison Le | Family Medicine | 3037 W Cat Balue Dr, Phoenix, AZ 85027-2342 | 2020-09-04 |
| 1649884065 | Miranda Gamgah Njante | Family Medicine | 10445 E Pivitol Ave, Mesa, AZ 85212-8037 | 2020-09-02 |
| 1447864830 | Prevencare Health Services, LLC | Family Medicine | 750 Bartow Dr Ste 16, Sierra Vista, AZ 85635-1833 | 2020-09-02 |
| 1093328767 | Whole Health Primary Care LLC | Family Medicine | 7113 W Sophie Ln, Laveen, AZ 85339-3475 | 2020-08-24 |
| 1942811997 | Raquiel Santos | Family Medicine | 4301 Plaza Vis Apt C, Sierra Vista, AZ 85635-4323 | 2020-08-13 |
| 1609493402 | Old Pueblo Mobile Medicine LLC | Family Medicine | 9721 E Colette St, Tucson, AZ 85748-2756 | 2020-06-29 |
| 1386261386 | Lillian Dolores Puma | Family Medicine | 6349 E Joan De Arc Ave, Scottsdale, AZ 85254-3834 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
| City | TEEC NOS POS |
| Zip Code | 86514 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.